CONNIE S WATKINS (NPI# 1013095355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013095355 |
| Entity Type | Individual |
| Full Name | CONNIE S WATKINS |
| Credential | FNP APRN BC |
| Practice Address |
6000 Kanakanak Road Medical Staff Office Dillingham AK 99576 |
| Mailing Address |
8520 Boundary Ave #f4 Anchorage AK 99504 |
| Practice Telephone | 9078429218 |
| Practice Fax Number | 9078429250 |
| Mailing Telephone | 9073378520 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
44324 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
432 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | NP2826 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316269897 | Connie K. Watkins | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2010-02-24 |
| Street Address |
6000 KANAKANAK ROAD MEDICAL STAFF OFFICE |
| City | DILLINGHAM |
| State | AK |
| Zip Code | 99576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740271741 | Jacqueline Elizabeth Chase | Dietitian, Registered | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2005-10-31 |
| 1306475140 | Nellie Alakayak | Community Health Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2020-04-03 |
| 1336701663 | Alisha Marie Folsom | Registered Nurse | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2019-07-08 |
| 1154983484 | Starla Fox | Registered Nurse | 6000 Kanakanak Road, Dillingham, AK 99576 | 2019-07-08 |
| 1922534098 | Acacia Walton | Specialist | 6000 Kanakanak Road, Dillingham, AK 99576 | 2017-05-10 |
| 1477091791 | Kathleen Sando | Case Manager/Care Coordinator | 6000 Kanakanak Road, Dillingham, AK 99576 | 2017-02-07 |
| 1225491160 | Candace Summer Watts | Family Medicine | 6000 Kanakanak Road, Bbahc, Dillingham, AK 99576 | 2016-03-29 |
| 1588025738 | Carolyn Carlos | Community Health Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2016-03-16 |
| 1508259383 | Leigh Ann Bolin | Social Worker | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2015-03-18 |
| 1811388820 | Jennifer Bennis | Case Manager/Care Coordinator | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2015-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016737 | Lake Road Dental LLC | Clinic/Center | 4622 Shannon Lake Rd, Dillingham, AK 99576 | 2018-06-08 |
| 1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
| 1467820910 | Alicia Mahlow | Case Manager/Care Coordinator | 540 Gauthier Way, Dillingham, AK 99576 | 2015-09-14 |
| 1306100557 | Peter Tallman | Social Worker | 6000 Kanakanak, Dillingham, AK 99576 | 2012-07-02 |
| 1801079546 | Marrulut Eniit Assisted Living, Inc | Respite Care | 125 D Street, Dillingham, AK 99576 | 2007-12-17 |
| 1730393430 | City of Dillingham | Ambulance | 514 Main Street, Dillingham, AK 99576 | 2007-05-10 |
| 1023132792 | City of Dillingham Senior Center | Non-emergency Medical Transport (VAN) | 515 East 1st Ave, Dillingham, AK 99576 | 2007-03-19 |
| 1912037037 | Hope Community Resources Inc | Day Training, Developmentally Disabled Services | Chog Center Main Street, Dillingham, AK 99576 | 2007-03-07 |
| 1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
| 1396728614 | Joan Lucienne Junge | Nurse Practitioner | 1500 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| Find all providers in zip 99576 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467733824 | Rachel Jane-pell Muir | Nurse Practitioner | 6000 Kanakanak Road, Dillingham, AK 99576 | 2011-08-30 |
| 1386834125 | Rebecca Inez Coupchiak | Nurse Practitioner | 6000 Kanakanak Road, S, Dillingham, AK 99576-0130 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1912514647 | Kaveri Bharti | Nurse Practitioner | 2900 Morgan Loop, Anchorage, AK 99516-1427 | 2020-09-27 |
| 1831709070 | China Kay Larson | Nurse Practitioner | 9402 Endicott St, Anchorage, AK 99502-1342 | 2020-08-03 |
| 1144847021 | Stephanie Anne Olah Packard | Nurse Practitioner | 6929 Crawford St, Anchorage, AK 99502-2728 | 2020-06-26 |
| 1134743370 | Matthew G Horgan | Nurse Practitioner | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0827 | 2020-06-03 |
| 1417585902 | Shelley Wantaja | Nurse Practitioner | 689 E Eklutna St, Palmer, AK 99645-6116 | 2020-03-30 |
| 1437787363 | Naomi Tonje Johnson | Nurse Practitioner | 5428 E Rebecca Nicole St Unit C, Wasilla, AK 99654-0002 | 2020-03-27 |
| 1235789322 | Halley Marie Fondren | Nurse Practitioner | Page Street, Soldotna, AK 99669-2634 | 2019-09-19 |
| 1710535380 | Peter Harvey | Nurse Practitioner | 755 Knightsbridge Rd, Fairbanks, AK 99709-2477 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | DILLINGHAM |
| Zip Code | 99576 |
Please comment or provide details below to improve the information on CONNIE S WATKINS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.